Vision Care Plan (VCP)

Choose your exam/material copay:	Choose your wholesale frame allowance:	Choose your elective contact lens allowance:
$10/$15 $15/$15 $15/$20 $20/$20	$40 ($80-$120 approximate retail value) $45 ($90-$135 approximate retail value) $50 ($100-$150 approximate retail value)	$110 $150

	See a participating provider	See a nonparticipating provider
Exam with dilation as necessary	100% after copay	$35 allowance
Lenses • Single • Bifocal • Trifocal	100% after copay 100% after copay 100% after copay	$25 allowance $40 allowance $60 allowance
Frames**	Wholesale frame allowance option	$40 retail allowance
Contact lenses*** • Elective (conventional and disposable)* • Medically necessary	Contact lens allowance option 100%	Contact lens allowance option $210 allowance
Frequency** • Examination • Lenses or contact lenses • Frame	Once every 12 months Once every 12 months Once every 24 months	Once every 12 months Once every 12 months Once every 24 months

* The contact lens allowance applies to professional services (evaluation and fitting fee) and materials. Members receive a 15% discount on professional services. The discount for professional services is available for 12 months after the covered eye exam.
** Frequency based on date of service
– After copay, standard polycarbonate available at no charge for dependents less than 19 years old.
*** If a member prefers contact lenses, the plan provides an allowance for contacts in lieu of lenses.

Lasik and PRK procedures
Members receive substantial reductions when procedures are done by network providers. Members can expect to pay no more than $1,800 per eye for conventional Lasik procedures and $2,300 per eye for custom Lasik or they can use designated TLC Vision Lasik Advantage Centers that have the following fixed prices:

• Conventional Lasik - $895 per eye
• Custom Lasik - $1,295 per eye
• Custom Lasik with IntraLase - $1,895 per eye
  
  

Additional plan discounts
• Members receive additional fixed copayments on lens options including: anti-reflective and scratch-resistant coatings.
• Members also receive a 20% retail discount on a second pair of eyeglasses. This discount is available for 12 months after the covered eye exam and
available through the VCP network provider who sold the initial pair of eyeglasses.

How does the wholesale frame allowance work?
Benefits include a wholesale frame allowance. If the wholesale cost exceeds the frame allowance, members pay twice the wholesale difference. They never pay full retail.

Retail price***	Wholesale price	Wholesale allowance	Member pays	Savings
$90-$135	$45	$45	$0	$90-$135
$150-$225	$75	$45	$60 ($75-$45= $30x2=$60)	$90-$165

*** Retail costs may differ and are based on two to three times the wholesale cost. Actual savings may vary.

Looking for standalone individual vision insurance?
HumanaOne provides vision insurance that can be purchased by individuals and families. Learn more about HumanaOne vision insurance.